Individual provider Active NPI

Sharonda Renee Miller, FNP

  • Family Nurse Practitioner
  • Nashville, AR
National Provider Identifier
1629532122
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006086 Issued in AR
Practice address
116 S Main St
Nashville, AR 71852-2406
Phone
(870) 455-0256
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A006086 AR Primary

Addresses

Primary practice location

116 S Main St
Nashville, AR 71852-2406

Mailing address

116 S Main St
Nashville, AR 71852-2406
Phone (870) 455-0256

Other practice location 1

1624 Pine St
Arkadelphia, AR 71923-4429
Phone (870) 464-9114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190606002654 AR Practitioner - Nurse Practitioner 0143553198 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 S Main St
Nashville, AR 71852-2406
Phone (870) 455-0256

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A006086ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Mar 4, 2025 Accepting new patients
Trusted Health and Wellness LLC CurrentSince Jul 19, 2023 Accepting new patients
Pallicare, Inc CurrentSince Nov 4, 2025 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Mar 4, 2025 Accepting new patients
Access Medical Clinic Arkansas LLC Current Accepting new patients

Locations

1624 Pine St
Arkadelphia, AR 71923
Phone (870) 464-9110

122 Southern Dr
Ashdown, AR 71822
Phone (870) 600-4050

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

116 S Main St
Nashville, AR 71852
Phone (870) 455-0256

Interoperability endpoints

  • Direct secure messaging: sharonda.miller.1@15024.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1629532122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522406",
            "telephone_number": "870-455-0256",
            "fax_number": "870-455-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522406",
            "telephone_number": "870-455-0256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1624 Pine St",
            "address_purpose": "LOCATION",
            "city": "Arkadelphia",
            "state": "AR",
            "postal_code": "719234429",
            "country_code": "US",
            "telephone_number": "870-464-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHARONDA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

Verify at the official NPI Registry.